4755 London Lane - COCCity of Evan
COMPLIANCE WITH INITIAL INSPEC TION
City Approved:
n City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City off Eagan, Minnesota
61 763 —
Property Address: La✓L�o
'his is to certify that the property listed above has been inspected by authorized City personnel on l2- , 201 O
and found to be in compliance with Section 3 40 ofthe City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n This is to certify that the property listed above has been found to be in compliance with Section 3.40 ofthe City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
City Plumbing Permit
d City of hp
NOM:' Applicable only if box is checked:1 Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
1 "T 2 Qk / /
Print narne v Signature
Yellow Copy: City of Eagan (Parcel File)
Date
1/A
rev. 2 23.2010